Berggren et al.15 |
GA |
29 |
Femoral neck fracture surgery |
Stroke, cognitive dysfunction, pneumonia |
Only fully lucid patients were included in the study |
EA |
28 |
Bigler et al.16 |
GA |
20 |
Hip surgery |
Mortality, cognitive dysfunction |
Patients with severe dementia, cancer and psychiatric or disseminated neurological disease were not studied |
SA |
20 |
Casati et al.18 |
GA |
15 |
Hemiarthroplasty of the hip |
Length of hospitalization, cognitive dysfunction |
One woman in each group |
USA |
15 |
Davis et al.22 |
GA |
68 |
Emergency hip surgery |
Mortality, stroke, myocardial infarction |
General anesthetic technique may not have been the same for all patients |
SP |
64 |
Davis et al.23 |
GA |
279 |
Hip fracture surgery |
Mortality, length of hospitalization |
Multicenter study; the length of follow-up was not the same for all patients |
SA |
259 |
Eroglu et al.25 |
GA |
20 |
Total hip replacement |
Blood transfusion requirements |
Hypotensive anesthesia was used in both groups |
EA |
20 |
Hole et al.27 |
GA |
31 |
Total hip arthroplasty |
Mortality, myocardial infarction, degree of satisfaction |
Only changes in mental status were analyzed, such as amnesia regarding personal data and disorientation relating to time, place and situation |
EA |
29 |
Jones et al.29 |
GA |
72 |
Elective hip or knee replacement |
Mortality, cognitive dysfunction |
Patients over the age of 60 years |
SA |
74 |
Juelsgaard et al.30 |
GA
SA |
14
15 |
Hip fracture surgery |
Mortality, myocardial infarction, length of hospitalization |
The authors quote: "Patients with known coronary artery disease scheduled for osteosynthesis of a femoral neck fracture were included in the study". The exclusion criteria were: uncooperative patients, recent myocardial infarction, unstable angina pectoris, significant aortic stenosis and other established contraindications for spinal anesthesia |
McKenzie et al.34 |
GA |
51 |
Femoral neck fracture surgery |
Mortality, myocardial infarction |
Patients over the age of 65 years |
SA |
49 |
McLaren et al. 35 |
GA |
29 |
Femoral neck fracture surgery |
Mortality |
More patients in the spinal anesthesia group had respiratory problems |
SA |
26 |
Nielson et al. 37 |
GA |
39 |
Elective knee arthroplasty |
Cognitive dysfunction |
Patients between 60 and 86 years of age |
SA |
25 |
Racle et al. 38 |
GA |
35 |
Hip surgery |
Mortality, myocardial infarction, stroke, cognitive dysfunction |
The patients were women |
SA |
35 |
Riis et al. 39 |
GA |
10 |
Total hip replacement arthroplasty |
Cognitive dysfunction |
The authors reported data from a third group with GA and EA combined |
EA |
10 |
Valentin et al.41 |
GA |
|
Hip fracture surgery |
Mortality |
Premedication was not given to high-risk patients; there were more high-risk patients in the spinal anesthesia group |
SA |
White et al.42 |
GA |
20 |
Femoral neck fracture surgery |
Mortality, cognitive dysfunction, pneumonia |
Patients in the spinal anesthesia group received general anesthetic drugs reported as "light anesthesia" |
SA |
19 |
Williams-Russo et al.44 |
GA |
134 |
Total knee replacement |
Mortality, length of hospitalization, cognitive dysfunction |
The authors developed their own questionnaire to evaluate cognitive dysfunction |
EA |
128 |